Individual provider Active NPI

Patricia Ann Thomas

  • Nurse's Aide
  • Pensacola, FL
National Provider Identifier
1609382944
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
299994650 Issued in FL
Practice address
7100 Plantation Rd Unit I
Pensacola, FL 32504-4206
Phone
(850) 435-4565
Fax
(850) 435-4566
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 299994650 FL Primary

Addresses

Primary practice location

7100 Plantation Rd Unit I
Pensacola, FL 32504-4206

Mailing address

7100 Plantation Rd Unit I
Pensacola, FL 32504-4206
Phone (850) 435-4565

Other identifiers 1

IdentifierTypeStateIssuer
81-2658085OtherFLNON SKILLED PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299994650FLMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1609382944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD UNIT I",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044206",
            "telephone_number": "850-435-4565",
            "fax_number": "850-435-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD UNIT I",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044206",
            "telephone_number": "850-435-4565",
            "fax_number": "850-435-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "299994650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON SKILLED PROVIDER",
            "identifier": "81-2658085",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.